title: Unusual etiology of epigastric pain.
abstract: BACKGROUND
  Epigastric pain is a common presenting complaint encountered in urgent care settings. Although peptic, biliary, and pancreatic pathologies are the most frequent findings, other rare diagnoses also can be found.
  
  
  OBJECTIVE
  We report an unusual case of acute epigastric pain in which abdominal ultrasound was of great support in revealing the diagnosis.
  
  
  METHODS
  A 64-year-old man presented to the Emergency Department after rapid onset of acute epigastric pain. Abdominal ultrasound showed a multi-cystic heterogeneous mass between the stomach and the liver. Abdominal computed tomography scan confirmed the gastric origin of the mass and showed torsion signs. Urgent laparotomy was performed with tumor excision. The diagnosis of pedunculated exophytic gastric stromal tumor was made and long-term follow-up was arranged.
  
  
  CONCLUSIONS
  Acute presentation revealed the presence of the tumor, which was excised surgically.
authors.affiliation: Department of Gastroenterology, Hotel-Dieu de France Hospital, Beirut, Lebanon.
authors.forename: Rita
authors.initials: R
authors.lastname: Slim
authors.forename: Tarek
authors.initials: T
authors.lastname: Smayra
authors.forename: Cyril
authors.initials: C
authors.lastname: Tohme
authors.forename: Elia
authors.initials: E
authors.lastname: Samaha
authors.forename: Cesar
authors.initials: C
authors.lastname: Yaghi
authors.forename: Raymond
authors.initials: R
authors.lastname: Sayegh
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis* / Q000601:surgery*; D003937:Diagnosis, Differential; D046152:Gastrointestinal Stromal Tumors / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000175:diagnosis* / Q000601:surgery*